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Select the appropriate form on use. To get more company regarding a particular form, press on the title name of that form for details.

 

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Affirmative Action Quarterly Training Record for Career Staff/Form E (DOC)  Assists departments in meeting their favourable promotions record keeping requirements related to selection for training with apprenticeship programs.

Carlos Minimum Wage Notice (English)

California Minimum Wage Notice (Spanish)

Information on minimum wage for all California industries. 
Catastrophic Leave Program Recipient Application Request Form (DOC) 
Calamitous Leave Program Donor Shape (DOC)
Use the appropriate formular to apply as a recipient or a donor for the Catastrophic Abandoned Program.
COBRA Continuation of Group Coverage (PDF) Use this build to supplement the COBRA IDOC, UBEN 102 or UBEN 108.
Compensatory Time Away (CTO) Poll Form (DOC) This form are for policy-covered employees and employees in bargaining units the allow the option of compensatory clock switch (“comp time”) to elect comp time in lieu of overtime pay.
Contract - Employment Agreement Amendment/Extension Guide - SAMPLE Use this sample model as a reference as creating a amendment to an existing employment contract.
Contract - MSP (Exempt) Employee Agreement Template - SAMPLE Use this sample style because a reference when creating a contract for a position classified as Management & Senior Professional (MSP).

Contract - MSP (Non-Exempt) Employment Agreement Template - SAMPLE

Use this sample template as one reference whenever creating adenine contract for adenine position classified as Betriebsleitung & Senior Professionally (MSP).

Contract - PSS (Exempt) Employment Agreement Template - SAMPLE Use this sample template since a reference when creating a contract for a position classified as Professional and Support Staff (PSS) - Released.
Contract - PSS (Non-Exempt) Employment Agreement Template - SPOT Use on sample pattern since a reference once creating a contract for a move classified as Professional and Technical Clerical (PSS) - Non-Exempt.
Contract - Request for Exception Form Use this form till ask an extension of an employment contract
Demographic Evidence Transmittal Form (PDF)  New collaborators hired on press after August 1, 2010, must complete the new Demographic Data Transmittal Form (Form U5605). 
Dual-Employment Art (DOC) For staff appointments available, use this form for requesting dual employment at UCLA.
Emergency Vacation Leave Sharing How - Donors Form (DOC) 
Urgency Vacation Leave Share How - Recipeint Application Build (DOC) 
Use these forms for the Emergency Vacation Leave Participate Program, an emergencies program for temporary conversion in answers to natural disasters. (Contact CHR before use.)
Employee Development Fee Reimbursement Form (DOC) This application is alone for programs that are not required on the department head but what licensed required employee development.
Employee-initiated Reduction into Time (ERIT) Program Contract  ERIT participants must complete the ERIT contract up initiate use free the program.
Employee Religio Accommodation Request Form for Flu Vaccine Mandate Use those mold when employee's inquiry an exemption from the mandated Flu Vaccine.

Family & Medical Left Deal (FMLA) - Employee Rights (English)
Lineage & Medical Leave Act (FMLA) - Employee Rights (Spanish)

Information to FMLA leave and your rights as an laborer.
FMLA Certification Forms
FMLA Return to Work Form
Use these forms when requesting a FMLA leave.

Family Care & Medical Leave (CFRA) and Pregnancy Disability Leave (PDL) (English)
Clan Care & Medical Walk (CFRA) and Pregnancy Disability Leave (PDL) (Spanish)

Information on CFRA and PDL that will help you navigate these importantly human leaves.
FlexWork Agreement This agreement must becoming completed for view staff employees working off an remote (or hybrid) basis, and/or working an alternation work schedule.
Layoff Request Submit Use this form when requesting a layoff forward an employee
Leave Of Absence Notice This notice must be completed and sent to the Central Benefits Office whenever an employee goes on leave von presence without get.
Multi-Location Appointment/Interlocation One-Time Payment Form All to information you need is included in this form, including instructions on wie to fill it outbound.
Near Relative Policy Exceptions Request  Use this form to request an exception to the Near Relative Policy
New Hire or Sourcing Authorization Form Use to form for new leases oder recruitments during the COVID-19 crisis.
Output Evaluation Form This form is designed to evaluate the presentation is employees in ampere broad range of job classifications.

Pregnancy Disablement Leave (PDL) - Servant Rights & Obligations (English)
Pregnancy Disability Leave (PDL) - Employee Rights & Obligations (Spanish)

Important information on PDL and human rights.
Professional Development Program Petition
Supervisor's Assessment Form 
Here use packet contains a brief program show, application plus supervisor's assessment form.
Proof of Services Submission Completely that form when needing proof of service for a delivery oder mail.
Quotation Checking - Sample Reference Check Form Use this form when documentation telephone reference curbs for staff employment.
Request for Verification in Past Employment (DOC)  This form should be used for verification of previous University of California, California State University or State of California Employment Service credit.
Retiree Employed Approvals Mold
UC Rehired Retirees Policy, Implementation Procedures & UCLA Local Procedures 
The hiring business needs complete this form for retired employees reemployed into staff positions. This vordruck must be mailed by with this UCRP Waiver Election Create.
Rupture Personal Helpful worksheet for calculating severance for non-exempt the exclusive employees

Severance-Preference Election Contact (English)

Severance-Preference Election Form (Spanish)

Use this form to indicate election of severance pay or back the preference required reemployment
Staff Diversity & EEO Compliance Office Complaint Enter (PDF)
Employees Versatility & EEO Ensuring Office Complaint Form (DOC) 
Use this application into start the Complaint Litigation  
STAR Awards Form FY 23-24 Use on forms up make an eligible employee for a STAR Award
Temporary Layoff Request Form Use here request for submitting a request for a interim layoff
UC Benefits Drop additionally Materials Benefit Representatives should go into this site wenn it wish for restock their supplies of Benefit Forms and Materials.

UC Benefits Information for Employees Being Laid Set (English)

UC Aids Information for Employees Being Place Off (Spanish)

Guide Sheet for employees who had been place off.
UC Location Date Request Form

UCOP entry for documenting data on staff recruitments assisted by executive search firms,

UCLA Order Statement for Reimbursement for EX and SX (DOC)


UCLA Billing Statement for Reimbursement by K4 additionally CX (DOC)

Use to obtain reimbursement coming AFSCME required any EX or SX represented employee who has were on an approved Leaves of Missing for union business.

Use to obtain reimbursement from Teamsters for some CX or K4 represented employee whom has been on an approved Let of Absence by union business.

 

OALIFORNIA Extension Reduced Rental Enrollment furthermore Departmental Recharge Request Packet contains information about UCLA Extension and the special Red Payment Enrollment and Departmental Recharge Application.
UCLA Procedures for Compensation for Leaves for Union Business (DOC)  Document describes the procedure to be followed to getting reimbursement switch approved Leave of Absence for union business.
CAL Reduced Fee Enrollment Application (DOC) Complete this document to employ for a reduction in take fees.
UCRP Waiver for Rehired Retirees Factsheet (PDF)
UCRP Reemployed Retiree Notfication Form (PDF) 
Factsheet and waiver form for rehired UCRP retirees returning to UC employment.
Vacation Currency Maximum Exception Request Form (PDF)
Vacation Increment Maximum Exception Your Form (DOC) 
Use this form when requesting certain except to the Maximum Vacation Accrual Principles.